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Diabetes 316 Lec
Diabetes 316 Lec
Management:
Diet
Exercise
Insulin
Type II (NIDDM)
Type I
Type II
Gestational Diabetes
Diabetes associated with other conditions or
syndromes
o Pancreatic disease, Cushing’s syndrome
o Use of certain drugs
Due to blood osmolarity, water moves from
o Steroids
inside to outside the cell (ICF dehydration)
Type I (IDDM) There will be hypovolemia (ECF dehydration)
Glycosuria will occur if glucose in the blood is
Juvenile – onset, Brittle DM, Unstable DM
>220mg/dl (renal threshold)
Onset is less than 30 years
Common in children or in non-obese adults Glucose Insulin Cell
↓
Cellular o Infections, Periodontal, UTI, Vasculitis,
Starvation Cellulitis, Vaginitis, Furuncles,
↓ Carbuncles, Retarded Wound Healing
Hunger & ↑Appetite Polyphagia
Complications:
A complication of DM characterized by
o Hyperglycemia
o Hyperosmolar state without ketosis
Occurs in Type II DM
Precipitating factors are:
o undiagnosed diabetes
o Infections, major burns, other stress
o certain medications (Dilantin, Thiazide
diuretics)
o Dialysis, Hyper-alimentation, pancreatic
disease
Assessment findings:
Laboratory tests